摘要
目的 :比较单一症状原发夜遗尿 (PMNE)患儿的自然灌注 (NF)和人工灌注 (AF)尿动力学表现。方法 :4 7例PMNE患儿 ,男 30例 ,女 17例 ,年龄 6～ 14 (9.6± 2 .3)岁。先后分别进行NF尿动力学检查和AF尿动力学检查 (灌注速度 10ml/min)。比较 2次检查结果。结果 :NF和AF尿动力学的最大逼尿肌压、最大尿流率时逼尿肌压、残余尿量、膀胱顺应性、最大尿流率、膀胱不稳定收缩发生率、逼尿肌括约肌协同失调发生率和排尿后收缩发生率 2次检查结果差异均无统计学意义 (P >0 .0 5 ) ;最大膀胱容量和排尿量差异有统计学意义 (P <0 .0 5 )。NF和AF分别检出低膀胱容量4 3例 (91% )和 38例 (81% ) ;NF和AF分别检出低膀胱顺应性 17例 (36 % )和 16例 (34% )。结论
Aim: To investigate the difference of urodynamic pattern by using natural filling (NF) and artificial filling (AF) cystometry in children with monosymptomatic primary nocturnal enuresis (PMNE). Methods: A total of 47 children (30 boys and 17 girls, aged 6～14(9.6±2.3) years)with PMNE were subjected to NF and AF cystometry, respectively. The data were compared. Results: The maximum detrusor pressure, detrusor pressure at maximum flow rate post-voiding residual bladder compliance maximum flow rate, incidence of detrusor instability, of detrusor-sphincter dyssynergia and post-voiding contraction by NF had no differences to those of AF(P>0.05), the differences of maximum cystometric capacity and voided volume between these 2 groups were significant (P<0.05). There were 43(91%) in NF group and 38 (81%) in AF group to be found having small capacity bladder. Decreased bladder compliance was observed in 17 cases (36%) in NF and 16 cases (34%) in AF, respectively. Conclusion: AF and NF urodynamic study are acceptable to evaluate the bladder function in children with PMNE.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2004年第6期935-937,共3页
Journal of Zhengzhou University(Medical Sciences)
基金
河南省杰出青年科学基金资助项目 0 2 12 0 0 0 110 0
河南省杰出人才创新基金资助项目 0 2 2 10 0 2 0 0 0
河南省高等学校创新人才培养工程项目 2 0 0 2 -2 0 0 7
关键词
尿动力学
小儿
遗尿
urodynamics
pediatric
enuresis
